CENTENNIAL DENTAL
NPI 1376319202
Clinic/Center - Dental in Ellicott City, MD

Q: What is Centennial Dental's NPI number?

The NPI number for Centennial Dental is 1376319202. It was assigned to this organization in the NPPES registry on December 1, 2023.

Q: What is Centennial Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Centennial Dental was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2023

10318A BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042(410) 480-2710 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Centennial Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL DENTAL (NPI 1376319202) is a healthcare organization registered as a dental in Ellicott City, Maryland and active in the NPI registry since December 2023. The organization lists Petro Tymiuk, Dentist, as its authorized official.

NPPES Registry Identity

NPI1376319202

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCENTENNIAL DENTAL

Location Address10318A BALTIMORE NATIONAL PIKEEllicott City, MD 21042-2128

Mailing Address10318a Baltimore National PikeEllicott City, MD 21042-2128 · (410) 480-2710

Phone(410) 480-2710

Organization SubpartNo

Authorized OfficialPetro TymiukDentist · (410) 480-2710

Enumeration DateDecember 1, 2023

NPPES CertifiedDecember 1, 2023

✔ NPI 1376319202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

10318A BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Dental's NPI number?

The NPI number for Centennial Dental is 1376319202. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is Centennial Dental located?

Centennial Dental is located at 10318A Baltimore National Pike, Ellicott City, MD 21042. The listed phone number is (410) 480-2710.

What is Centennial Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Centennial Dental was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.